Welcome to episode 523 of the Divine Intervention Podcast.

In today's podcast we'll be continuing the series for the Step 2 CK Free 120,

the 2024 free 120. This is going to be part six. We've done the first 40

questions. We're literally going to roll into a block two. So it's going to be question

41. Let's get right to it. A 40 year old man comes to the office during the summer because of a three day history of fever, diffused muscle aches, fatigue and sore throat. He has had no sick contacts. Medical history is

unremarkable and he takes no medications. He received the influenza virus

vaccine this year. Ten days ago he returned from a trip to Malaysia where he

says he enjoyed the local food and nightlife. Temperature is 38.8

8 degrees Celsius that's 101.8 degrees Fahrenheit. Pulse is 90 per minute. Respirations

at 16 per minute. And blood pressure is 126 over 70 millimeters of mercury. The remainder of the examination shows no

abnormalities. Results of laboratory studies are shown. So his hemoglobin is

10 grams per desal liter.

Okay, I'm not going to run through all these labs, but his hemoglobin is low.

He has an anemia.

His white count is also low, so he has a locopinia.

He splitlet count is normal. His red cell distribution

width appears to be normal as well, although I don't know the normal value for

that. I'm not going to waste time looking at that. Monosport test result is

negative, which are the following are the most appropriate next step in

diagnosis. So option A says side omega virus serologic testing option B says

Epstein bar virus serologic testing.

Option C says hemagglutinin inhibition assay.

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